Provider Demographics
NPI:1679637748
Name:BUCHANAN, ALEC WILLIAM (PHD MD)
Entity Type:Individual
Prefix:DR
First Name:ALEC
Middle Name:WILLIAM
Last Name:BUCHANAN
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Gender:M
Credentials:PHD MD
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Mailing Address - Street 1:PO BOX 351 SILVER STREET
Mailing Address - Street 2:CONNECTICUT VALLEY HOSPITAL
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457
Mailing Address - Country:US
Mailing Address - Phone:860-262-5867
Mailing Address - Fax:860-262-5850
Practice Address - Street 1:351 SILVER STREET
Practice Address - Street 2:CONNECTICUT VALLEY HOSPITAL
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457
Practice Address - Country:US
Practice Address - Phone:860-262-5867
Practice Address - Fax:860-262-5850
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2015-01-30
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Provider Licenses
StateLicense IDTaxonomies
CT0406582084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry